Individual
DR. GEORGE BOUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2554 W 16TH ST, YUMA, AZ 85364-4229
(520) 334-7995
Mailing address
2554 W 16TH ST, YUMA, AZ 85364-4229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4505
AZ
Other
Enumeration date
02/21/2007
Last updated
04/07/2015
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